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Organization

SOCAL ADOLESCENT WELLNESS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA M HARRIS (CFO)
(949) 467-4324
Entity
Organization

Contact information

Practice address
16168 BEACH BLVD STE 170, HUNTINGTON BEACH, CA 92647-3878
(714) 465-5583
Mailing address
16052 BEACH BLVD STE 135, HUNTINGTON BEACH, CA 92647-3817
(714) 465-5583

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
05/11/2021
Last updated
05/11/2021
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